=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770408080
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HANAFI MEDICAL LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/13/2026
-----------------------------------------------------
Last Update Date | 08/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 311 S PARK BLVD
-----------------------------------------------------
City | GLEN ELLYN
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60137-6853
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-808-1683
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 311 S PARK BLVD
-----------------------------------------------------
City | GLEN ELLYN
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60137-6853
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-808-1683
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | JAHANZEB HANAFI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 630-808-1683
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------